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Antibiotic Man Flashcards

(55 cards)

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1
Q

meningitis treatment?

A

IV ceftriaxone + IV dexamethasone

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2
Q

what treatment should you add if a patient is >/= 60 years or immunocompromised if they have meningitis?

A

IV amoxicillin

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3
Q

what is the treatment for meningitis if encephalitis is suspected?

A

IV aciclovir

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4
Q

epiglottitis/supraglottitis treatment?

A

IV ceftriaxone

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5
Q

what scoring system do you use for pneumonia?

A

CURB65

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6
Q

what are the CURB65 scores for the following:

(a) mild/moderate
(b) severe

A

(a) mild/moderate = 0-2

(b) severe = 3-5

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7
Q

mild/moderate community acquired pneumonia treatment? duration?

A

amoxicillin for 5 days

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8
Q

mild/moderate community acquired pneumonia treatment who is penicillin allergic?

A

doxycycline

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9
Q

severe community acquired pneumonia treatment?

A

IV co-amoxiclav + doxycycline

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10
Q

severe community acquired pneumonia in ICU/HDU treatment?

A

IV co-amoxiclav + clarithromycin

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11
Q

what should you step down to in all patients with severe CAP?

A

doxycycline

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12
Q

severe community acquired pneumonia treatment who is penicillin allergic?

A

IV levofloxacin

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13
Q

non severe HAP treatment?

A

amoxicillin

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14
Q

non severe HAP treatment in those who are penicillin allergic?

A

doxycycline

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15
Q

severe HAP treatment?

A

IV amoxicillin + gentamicin

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16
Q

severe HAP treatment in those who are penicillin allergic?

A

IV co-trimoxazole + gentamicin

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17
Q

non severe aspiration pneumonia treatment?

A

amoxicillin + metronidazole

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18
Q

non severe aspiration pneumonia treatment in those who are penicillin allergic?

A

doxycycline + metronidazole

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19
Q

severe aspiration pneumonia treatment?

A

IV amoxicillin + metronidazole + gentamicin

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20
Q

severe aspiration pneumonia treatment in those who are penicillin allergic?

A

(doxycycline or IV clarithromycin) + metronidazole + gentamicin

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21
Q

severe aspiration pneumonia step down treatment?

A

amoxicillin + metronidazole

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22
Q

severe aspiration pneumonia step down treatment in those who are penicillin allergic?

A

doxycycline + metronidazole

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23
Q

exacerbation of COPD treatment:

1st line -
2nd line -

what context?

Study These Flashcards
A

1st line - amoxicillin
2nd line - doxycycline

context:

only if increased sputum purulence or CXR consolidation/pneumonia signs

24
Q

antibiotics for cough/acute bronchitis is considered only in who?

Study These Flashcards
A

frail elderly

25
cough/acute bronchitis treatment: 1st line - 2nd line -
1st line - amoxicillin | 2nd line - doxycycline
26
what should be taken in endocarditis?
appropriate blood cultures
27
native valve indolent (subacute) endocarditis treatment?
IV amoxicillin + gentamicin
28
native valve severe sepsis (acute) endocarditis treatment?
IV flucloxacillin
29
prosthetic valve or suspected MRSA endocarditis treatment?
IV vancomycin + IV gentamicin | then add rifampicin when vancomycin levels are reached
30
clostridium difficile non-severe infection treatment?
metronidazole
31
clostridium difficile severe infection treatment?
vancomycin +/- IV metronidazole
32
clostridium difficile non-severe and severe infection treatment duration?
10 days
33
peritonitis/biliary tract/intra abdominal infection treatment?
IV amoxicillin +metronidazole + gentamicin
34
peritonitis/biliary tract/intra abdominal infection treatment in whose who are penicillin allergic?
IV vancomycin +metronidazole + gentamicin
35
peritonitis/biliary tract/intra abdominal infection step down treatment?
co-trimoxazole + metronidazole
36
acute gastroenteritis treatment?
no antibiotic treatment required
37
do antibiotics affect the outcome of acute pancreatitis?
no
38
mild proven spontaneous bacterial peritonitis treatment?
co-trimaxazole
39
severe proven spontaneous bacterial peritonitis treatment?
piperacillin/IV tazobactam
40
severe proven spontaneous bacterial peritonitis step down treatment?
co-trimaxazole
41
what do you not use in catheterised patients or for UTI's in older patients?
urinalysis
42
do you treat catheterised patients or UTI's in older patients
no unless signs/symptoms of infection treat as per complicated UTI if definite infection
43
complicated UTI/pylonephritis/urosepsis treatment?
IV amoxicillin + gentamicin
44
complicated UTI/pylonephritis/urosepsis step down treatment?
co trimoxazole
45
complicated UTI/pylonephritis/urosepsis treatment in those who are penicillin allergic?
IV co trimoxazole + gentamicin
46
uncomplicated female lower UTI and uncathterised male UTI treatment?
nitrofurantoin or MR or trimethoprim
47
cellulitis treatment?
flucloxacillin
48
cellulitis treatment in those who are penicillin allergic?
doxycycline
49
open fracture prophylaxis?
IV co-amoxiclav or IV co-trimoxazole + metronidazole
50
mild diabetic foot infection treatment?
flucloxacillin or doxycycline
51
moderate diabetic foot infection treatment?
flucloxacillin + metronidazole or doxycycline + metronidazole
52
acute septic arthritis/osteomyelitis treatment?
IV flucloxacillin
53
severe systemic infection of unknown source treatment?
IV amoxicillin + metronidazole + gentamicin
54
severe systemic infection of unknown source treatment in those who are penicillin allergic?
IV vancomycin + metronidazole + gentamicin
55
severe systemic infection of unknown source in PWID treatment?
add staph. aureus cover IV amoxicillin + metronidazole + gentamicin ADD IV flucloxacillin

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